Active NPI
White House Healthcare Center LLC
- Skilled Nursing Facility
- Orange, NJ
National Provider Identifier
1679286249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WHITE HOUSE HEALTHCARE CENTER LLC
- Practice address
- 560 Berkeley Ave
Orange, NJ 07050-2109 - Phone
- (973) 672-6500
- Fax
- (973) 789-3017
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Colev J Gestetner
- Title
- Managing Member
- Phone
- (732) 600-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
560 Berkeley Ave
Orange, NJ 07050-2109
Mailing address
560 Berkeley Ave
Orange, NJ 07050-2109
Phone (973) 672-6500
Other names 1
- WHITE HOUSE HEALTHCARE & REHABILITATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230411001404 | NJ | Part A Provider - Skilled Nursing Facility | 8729453493 | Practice locations: Orange, NJ |
Skilled nursing facility certification: CCN 315372
- Legal name
- WHITE HOUSE HEALTHCARE CENTER LLC
- Doing business as
- WHITE HOUSE HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1997
- Last certification
- Jun 6, 2024
- Beds
- 176
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Feb 23, 2022 in NJ
- Enrollment address
- 560 Berkeley Ave
Orange, NJ 07050-2109 - Nursing home name
- WHITE HOUSE HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- COLEV GESTETNER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- White House Healthcare and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1997
- Medicare certification status
- Active
- Certified beds
- 176
- Chain
- Colev Gestetner
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eliezer Grossman | W-2 Managing Employee | Jan 1, 2023 | 100% |
| Yocheved Grossman | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 20% |
| Colev J Gestetner | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 80% |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- East Orange, NJ
- NPI 1114934007
-
- Geriatric Medicine (Internal Medicine) Physician
- Bayonne, NJ
- NPI 1841354537
-
- Cardiovascular Disease Physician
- Maplewood, NJ
- NPI 1114326162
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bayonne, NJ
- NPI 1841354537
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1679286249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 BERKELEY AVE",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070502109",
"telephone_number": "973-672-6500",
"fax_number": "973-789-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 BERKELEY AVE",
"city": "ORANGE",
"state": "NJ",
"postal_code": "070502109",
"telephone_number": "973-672-6500",
"fax_number": "973-789-3017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE HOUSE HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "GESTETNER",
"authorized_official_first_name": "COLEV",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "732-600-2030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WHITE HOUSE HEALTHCARE & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.